| 蔡磊 连肖 李艳 郭曼 杨学文 王文斌 洪流.胃肠减压对胃癌患者远端胃切除术围手术期效果的影响[J].现代生物医学进展英文版,2015,15(32):6251-6254. |
| 胃肠减压对胃癌患者远端胃切除术围手术期效果的影响 |
| Effect of Gastric Decompression on Short-termOutcome of PatientsReceiving Distal Gastrectomy |
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| DOI： |
| 中文关键词: 胃肠减压 胃癌 远端胃切除术 |
| 英文关键词: Gastric decompression Gastric cancer Distal gastrectomy |
| 基金项目:国家自然科学基金项目（81300301）；第四军医大学优秀文职人员培养基金项目；第四军医大学西京医院2014 年度助推计划 |
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| 中文摘要: |
| 目的：探讨胃癌患者远端胃大部切除术后放置鼻胃管引流的短期效果。方法：选取我科从2010 年9 月1 日到2013 年3 月1
日间318 例胃癌行远端胃切除的患者，随机分为术后留置鼻胃管（NGT 组）或不留置组（no NGT 组），比较两组间围手术期的短期
效果。结果：158 例患者纳入NGT 组，而160 例患者纳入no NGT 组。两组间在术后腹胀、持续呕吐、吻合口瘘、发热、肺部感染、伤
口感染的发生率上无统计学差异(P>0.05)。进一步分析65 例既往有腹部手术史的患者（NGT 组34 例vs no NGT 组31 例），NGT
组腹胀发生率（5.88%vs 29.03 %，P < 0.05）显著低于no NGT 组。结论：对于胃癌患者行远端胃切除术后不推荐放置鼻胃管；而对
于既往有腹部手术史的患者，术后放置胃管可以降低腹胀的发生。 |
| 英文摘要: |
| Objective:To evaluate the effect of nasogastric drainage on perioperative period short-term outcome of gastric cancer
patients after distal gastrectomy.Methods:318 patients with gastric cancer were enrolled as objects fromSeptember 2010 to March 2013.
Patients were randomly assigned to receive either gastric decompression (NGT group) or not (no NGT group) after the distal gastrectomy.
Details concerning the demographic data and perioperative period outcomes were collected and analyzed.Results:Totally 158 patients
were involved in the NGT group and 160 in the no NGT group. Among them, 65 patients with the history of abdominal operation were
involved, including 34 in NGT group and 31 in no NGT group. In the whole, there were no significant differences between the two
groups with respect to demographic data, the rate of abdominal distension, persistent vomiting, anastomotic leak, fever, pulmonary
infection and wound infection. Among the patients with history of abdominal operation, the rate of abdominal distension (5.88 % vs
29.03 %, P<0.05) in NGT group was significantly less than that of no NGT group.Conclusion:Gastric decompression is not
recommended for patients with gastric cancer receiving distal gastrectomy, but it is suitable for the patients with history of abdominal
operation. |
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